JAY EDWIN TALLIS OD - Optometrist License in Illinois | # 047047271

JAY EDWIN TALLIS OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047047271

License Status

NOT RENEWED

Business

N

First Name

JAY

Middle

EDWIN

Last Name

TALLIS

Suffix

OD

Business Name

JAY EDWIN TALLIS OD

Original Issue Date

07/28/1993

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005